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HomeMy WebLinkAbout0028 PHEASANT WAY WEST - Health 2 8 fteasaNf wwy wort S M E A D No.2.153LY UPC 12934 emead.com • Made In USA SUSM NW M C�dFawrSoure4w L vt TOWN OF BARNSTABLE `Q LOCATION_�7 � /� �{ SEWAGC # U 71� VILLAGE�� /� ASSIsSSOR'S MAP6z LOT?t)e, '4 SQ INSTALLER'S NAME & PHONE NO.�je �( � / SEPTIC TANK CAPACITY tn'ta LEACHING FACILITY:(Cype) v _ (size) 52 T ' A0 JJ NO. OF BEDROOMS' PRIVA� oT3 WE L OR PUBLIC: WATEK � ( ' BUILDEk OR OWNER�� IOW_-'OC46 (— DATE PERMIT ISSUED: : DATE COZIPLIANCE ISSUED: _ VARIANCE GRANTED: Yes No �-rovI b C n 1 � JJJ ,� r �� .-Igo �� No - ._.. / Fss.. �_............. THE COMMONWEALTH OF MASSACHUSETT BOARD F ..!............ ....................OF.......................................---.................-•----....................... Appliration for Disposal Works Pustrudion rtrutit Application is hereby made for a Permit to Construct ( ororr Repair ( } an Individual Sewage Disposal Syst9m at: "`. ? __y........�.1..� j fef/T-.ct/f ....... .......L Lw?� U l GL .. --...------....................---- W OX 0 LTd cation-Address or Lot No. ......................^--..........�... ............ ............. ........... ......... . *XA..�d.j.d.r. ..., nstaller ess � 9�J Type of Building � ize Lot-------j..................Sq. ,et U Dwelling—No. of Bedrooms ,.............................Expansion Attic (� Garbage Grinder p, Other—Type of Building ..........�............... No. of persons............................ Showers ( ) — Cafeteria ( ) P4 Other res ............................ . Design Flow........S.-5 ......gallons per person pe day. Total daily�v-.•tom d . _:.________.._.....•--g�}lons. WW -- . �f Septic Tank—Liquid capacit�O.._...gallons Length_ _'•--...._.. Width..`��5._.... Diameter................ Depth-RI, x Disposal Trench—No..................... Widt .............Total Length ....._ _......... Total leaching area...................sq. ft. Seepage Pit No ..... ....... Diameter...... ........... Depth below inlet.._ ��.._..___._. Total leaching area._ ...sq. ft. z Other Distribution box ( Dosing tank ) '~ Percolation Test Results Performed by.._�.�............. c....................................... Date.�� __ �L �' ,,JJ .......... Test Pit No. 1................minutes per inch Depth of Test Pit...l_7.-_....... Depth to ground water... -p-•-----. Lz., Test Pit No. 2.......Y.minutes per inch Depth of Test Pit...T-0.......... Depth to ground water....--------------- 94 ...•••. ---------------••----..................---.......-•----•-•-----•--....------------------------.........--......---......---•---------------•---- 0 Description of Soil........................................................................................................................................................................ x •-------------------------------------•-----------------------------------•--------•-----------------•-------------••------- ._._....._..---------------•-•-•-----------•------------------•------------- w U Nature of Repairs or Alterations—Answer when applicable.............................•...............•..................................._._._...:__.... -•-----•----------------------------------•---•-----•--•--•-------------•--.....---•--........---•----......-----------------------.......-------•--......---------------------••••••--•--------•-_..... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has beffi issued by the ar o h Signed_ - ./ 1, -- ..................... ........ .......... . Application Approved By----- d . . .................. -•--._.... . ... at Application Disapproved for the following r ns:........................................................................................................ ..._--- ...............•-•-••---•--•••••..............••••...............-----•-------••---. Permit Issued........ 4.112. -e Date � -- �- No.... 1�... ."� � � �l/(, /..�� Fes$....... �............. THE COMMONWEALTH OF MASSACHUSETT BO�eRD F . . .....-•--•-...--.OF....: .: r!h......." : Appliration for"Disposal park�orRejpair nnstrurtinn Permit Application is hereby made for a Permit to Construct ( ( ) an Individual Sewage Disposal Sys at: o �j� _ Lp�cation-Address or Lot No. ......................................t�-----� ---:....�.............-. _ ........................... -- .......Address-------•--.. .... ef W a sale %/' *'.6ri re sAType of Building ze Lot. ......................Sq. fe" Dwelling—No. of Bedrooms._ ~_ ................Expansion Attic ( WGarbage Grinder ' Other—Type T e of Building ...........................p`"•, ypNo. of persons____________________________ Showers ( ) — Cafeteria ( ) Q, Other res ..-•••------••-•••-•......- -. .� -----------------------•-•----------------- WDesign Flow......._S...:............................gallons per person e day. Total daily w..` _ ............................ ,lons. W Septic Tank—Liquid uid ca aci . � ._. `'' ` P q p e-• "-• gallons Length.:.:..:....... Width_.:_:_.._... Diameter---------------- Depth____.......... x Disposal Trench—No..................... Width,..........._._._..Total Length........___.. Total leaching area....................sq. ft. � Seepage Pit No,! �� _...... Diameter.... Depth below inlet.... .......... Total leaching area_A.6f��...sq. ft. z Other Distribution box (uo� Dosing tank ( ) Percolation Test Results Performed by.. ...... ...............�.! .. P ° � s Date.••- --- ----------. ---•---- ,`4a Test Pit No. 1________________minutes per inch .Depth of Test Pit...eL_? _......_. Depth to ground water.__�'V_._......_.__. (i, Test Pit No. 2_______1 ..minutes per inch Depth of Test Pit..XQ:.......... Depth to ground water..._............... M 0 Description of Soil........................................................................................................................................................................ x w UNature of Repairs or Alterations—Answer when applicable...........................•.•............_..................................._................ -------------------------------------------------------------------------------------------------------•------------------------------------------------------------------------------•--•-•-•••..••••• Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be issued by the bboard of eal Signed. "'-1�:. ;') 0 .../// Date Application Approved By..... .. ,......1-• . .. r. . ... j Application Disapproved for-Ihe following r as ns.__..... ..•••••....•--••••••••-•••---•••.......................•-••••--•-••••--••---•••-•-•-••----•---•-•--•••-•'-•••-•••...._......•--••••-•--•••-•••••••••--•••••...........---•-•---••--•••••••••....•--••--- a Date Permit No._?. _....._7�� ._......... Issued...._..�� ................ THE COMMONWEALTH OF MASSACHUSETTS _ BOARD�OF HEALTH ..49W! 1.....................OF....../.`4!° t ��l` ./ ................................... Trrtif irate of Tomplianrr THI IS TO ER IF�"�tfthevidual wage Disposal System constructed r Repaired ( ) n ............f to •r `� -----•------------------------•--- by......... . r at... k_.......••• _1......................................................... ��--------•--.......----------•-•--------.....---------------...•................._..- has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as d cribed in the application for Disposal Works Construction Permit No.._.. J f' _. dated_-... .................. THE ISSUANCE OF THIS CERTIFICATE SHALL O'f BE Z(4'STRIIE® AS A A THAT THE SYSTEM WILL FUNCTION TISFACTORY. DATE... �� --•-•-----------•------- Inspector --._.Le � / .. . THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .... .. i '✓ t/V/ {! ��'� V I A.L.-f FEE....... No. 7 � ....... Dispoo Works nstr ion rrmi Permission is hereby granted......_. ..' . ... ................. ��. to Construct ( � or Repair ) n 1.ua rage sposal ystem at No..... " ---•••. as shown on the application for Disposal Works Con action Permit N .._ �*-- Dated_._.j ............ �f rd of Health DATE..... ��--•-------------- FORM 1255 A. M. SULKIN, INC., BOSTON EL.= 38.5 TOP OF "LWA27ON \� EL=39.6 co crow GROUND EL.= 38 coNcju7w Co ymu EL.- RISER 4' cAST �o41.0 �'7 EL=40.0 OR SC.FHDULN 40 1.2'Y.lB 1P YAX PH VC 14 PER 4' SCHEDULE' �f0 P.Y. (ONLY) PEA' — PICTJY 1 4''PM? FT. LEACH PIT := PRECAST Z LCAC"G OB lO EL._ 9 INi�'RT INVA�?T A o ° A'pUIVALEIVT s�rlc TANd 37.53 Dm. ° Rr 1000 GALLONS £L.= Box EL.- 37.3 v °° EL.= 37.69 INr� DwxR p p ° s 4' m 1• 37. 48 EL.= 37 _ o° o °` isD sTb " 10' ,5' ° 31.2 Q EL=30 6—� 1 272 ' PROFILE OF NO BOUM WA TABU ' SEWAGE DISPOSAL SYSTEM - HSE SOIL LOG NO SCALE WITNESSED BY: DA TE_ 1 f21�89 NUMBER P—7451 Tom. OF BARNSTABLE HEAL M OMCER R. BARR Y /• .. •• _-- __ ,�0� 5 WN WATER TEST HOLE �1 TEST ROLE �2 1/ J fNG/NE£R ' TO EL. 46.2 EL. 17.2 �P�� Oy� � _ . �5 ,0 8 T L o_ L DESIGN DATA: �e�� �p �j 8 30 SUB1 3 SUB 3 PERC 36 NUMBER OF BEDROOMS �J TOTAL ESTIMATED FLOW330 GPD BOTTOM LEACHING AREA 50 S4. FT. J 150 SIDE LEACHING AREA SQ. FT. �6 ys• GARBAGE DISPOSAL NO NO 509 INCREASE ��' £ ; TOTAL LEACHING AREA 200 SO. FT. J� OXIDE PERCOLATION RATE LESS 2 M/N./IN, p r 30 VED.SAND 3' 10 M SANDLEACHING AREA PER PERCOLATION RATE NUMBER OF LEACHING PITS ONE EL=27.2 i 0� NO H 0 CALCULATIONS = 3. 14 16 =50 1 =50 G.P. ° � i� �0 ,2 27T RH=6.28 4.6 =1 D 2.5 —37 _ �C� • 2 G� 5� ��, 7 TER ,ENCOUNTEREDPl2 TO TA = G.P D WA T L 426 APPROVW..........................................BOARD OF HEALTH W. forDATE............................. ... �O ... ............AGENT OR INSPECTOR i �A 16 GENERAL NO ALL PIPE 4" SCH 40 � � �� ,• • • . . . . PVC-------------- THIN 5' O TER WI - .�1 NOTE:. TOWN WA SEP77C IF - -------F DRIVE 7O-RE-fl- 0 LOADING 41 . . . / 15 PLAN SITE OF LAND IN CE N TER VIL 'L E 35 IDREPA RED FOR },. • i T • ti . 2 • ^J r. joy R o al PA L 814 A. 'No• k ` MERITFiEw • f..• n S �p320WIL /Am' S>• br Eh l � FGISTER� J 1 O Op r S 7ivv Al L0.N� r LEGEND a GRAPHIC SCALE - 1 PROPOSED GRADES 0 10 20 40 80 YANKEK SURVEY CONSULTANTS 77 SPLIT FOUNDA TION BFT. & 4 FT. 143 ROUTE 149 P. 0. BOX 265 ( IN FEET ) MARS TONS MILL S, MA SS. 02648 1 : inch _ 20 ft. PLAN REF• 122197 » FLOOD ZONE:•. C RES. . ZONE: »RC JOB NUMBER 1849 41 : .... . .. _.., .. .. «..n+",.•ram+.J, .. a:, .'. . "".... ..-. ,., .'.. - - - _... .. .